Delivery of the head.
Delivery of the anterior shoulder.
Delivery of the posterior shoulder.
Delivery of the trunk and lower body.
Clamping and cutting of the umbilical cord. (para 2-9).
Exact date and time of delivery.
Sex of the infant.
Condition of the infant after birth.
Position of the infant at delivery.
Type of episiotomy, lacerations.
Spontaneous or forceps delivery.
Use of oxygen and suction on the infant.
Number of vessels in the cord.
Any other pertinent facts about the delivery. (para 2-10)
Bulging of the lower abdomen.
Spongy feeling mass between the fundus and the pubis.
Displaced uterus from the midline, usually to the right.
Increase of lochia flow. (para 2-15i(1))
Any 8 of the sixteen listed. (para 2-15)
Transfer the patient from the delivery table.
Provide care of the perineum.
Transfer the patient to the recovery room.
Ensure emergency is available in the RR for possible complications.
Monitor lochia flow.
Observe the mother for chills.
Monitor the mother's vital signs and general condition.
Observe patient's urinary bladder for distention.
Evaluate the perineal area for signs of developing edema/hematoma.
Observe for signs of hemorrhage.
Assess for ambulatory stability.
Observe C-section patients.
Instruct the patient in the proper perineal care.
Complete notes and transfer patient (if stable) to the ward.